FORM 1023-EZ for PGP NEXT LEVEL FOUNDATION

Field Data
EIN 82-4780240
Case Number EO-2019252-000300
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name PGP NEXT LEVEL FOUNDATION
Organization’s Mailing Address 4127 PRINCETON BLVD
City SOUTH EUCLID
State OH
ZIP 44121
Accounting period End 12
Primary contact name ADRIEN CLARKE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SOYNA MOORE
CO- CHAIRMAN
37204 DEER RUN
SOLON OH 44139

Officer/Director/Trustee Two

NITRA RUCKER
CO - CHAIRMAN
18500 WATERBURY AVE
MAPLE HEIGHTS OH 44137

Officer/Director/Trustee Three

TANIA CLARKE
VICE CHAIRMAN
4127 PRINCETON BLVD
SOUTH EUCLID OH 44121

Officer/Director/Trustee Four

ALICIA HOPKINS-DAVIS
TREASURER
593 BROOKLINE CT
NORTHFIELD OH 44067

Officer/Director/Trustee Five

ADRIEN CLARKE
CEO
4127 PRINCETON BLVD
OH OH 44121

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/7/18
Organization Incorporation State OH
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O50 - Youth Development Programs, Other
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: No
Qualify For Exemption No
Legislation influence No
Compensation of Officer director trustee No
Donation of funds Yes
Conducting Activities Outside of United States No
Financial transactions with officers No
Unrelated Gross Income $1,000 or More Yes
Gaming Activity No
Disaster relief assistance No
One Third Support Public No
One Third Support Gifts Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name ADRIEN CLARKE
Signature Title CEO
Signature Date 9/5/19

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